Pancho - IRA-ALM-71

Code: IRA-ALM-71
Mercy ID: V-03235-01
Encounter Date: 01/19/2010
Last: Iraheta
First: Alma
DOB: 03/02/1971
County: Gwinnett
Street: 1004 Sandune Dr.
City: Norcross
State: GA

Zip

30093-

Cell

(770) 256-1254

Family Status

Two parent family w/children

COB

El Salvador

Gender

Female

Housing

Single Family

Education Level

some high school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	N/A	N/A	N/A
Father	N/A	N/A	N/A
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: N/A
Name of School: N/A
Grade: N/A
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: G. Landeros
Data Entry: J. Manzo